| NPI | 1770977951 |
|---|---|
| Doing Business As | IMD PATH |
| Entity Type | Organization |
| Authorized Contact | ISRAEL VILLASENSOR Executive Vice President/Secretary 831-818-4051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CO 195377) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2017-01-25 |